Background:
The first point of contact for patients newly diagnosed with Type 1 diabetes is critical in their future management and care. A formally structured diabetes education program for patients newly diagnosed with type 1 diabetes is not offered at our institution.
Aims:
To review the Diabetes Education program for patients with newly diagnosed type 1 diabetes and bench mark against current best practice guidelines.
Methods:
A literature search was completed to determine current best practice. There was no consensus for recommendations on best practice management of newly diagnosed type 1 diabetes . Ethics approval was obtained for a low risk quality assurance project. Patients were retrospectively identified using Australian Refined Diagnosis Related Groups for type 1 diabetes from December 2014 to December 2016. A questionnaire investigating patient’s perception of their experience was developed and completed via telephone or in person. Results were entered into a database and basic statistical analysis was conducted in Excel.
Results:
21 patients were identified, patients were excluded for reasons including; incarceration, age under 18 and being diagnosed at another hospital, 11 participated in the survey 9 were inpatients (82%) with an average stay length of 3.56 days. 82% of patients reported feeling well supported and knew who to contact for help. 55% of patients received a dietician consultation within 3 days of diagnosis. Improvements recommended included: time in hospital to learn self- management skills (72% satisfaction), extra support for patients not admitted to hospital (67% satisfaction) and increased time with doctors (80% satisfaction).
Conclusions:
The Diabetes Education program for patients with newly diagnosed type 1 diabetes was reviewed. A lack of formalised programs were found in the literature for benchmarking. 82% patients reported feeling well supported. Areas of improvement were detailed and the current program will be reviewed and necessary changes made to further improve our service.